MCOMPASS ANAL MANOMETRY AN OVERVIEW
|
|
- Bonnie Whitehead
- 5 years ago
- Views:
Transcription
1
2 MCOMPASS ANAL MANOMETRY AN OVERVIEW
3 ANAL MANOMETRY MEASURES PRESSURE ALLOWS INTERPRITATION SENSATION RAIR RECTAL COMPLIANCE MOTIVATION OF THE PATIENT FUNCTION OF THE PUDENDAL NERVE
4 WHEN TO USE ANAL MANOMETRY POOR ANAL STRENGTH FROM HISTORY OR FROM EXAMINATION WHEN THIS INFORMATION IS IMPORTANT TO THE PATIENTS CARE WHEN THE SITUATION IS CONFUSING TO THE PHYSICIAN EDUCATION FOR THE PATIENT
5
6 ANAL MANOMETRY A PRACTICLE REVIEW ANATOMY & PHYSIOLOGY OF THE RECTUM & ANUS PERFORMING A GOOD STUDY WITH THE MCOMPASS AVOIDING A POOR QUALITY STUDY READING THE MCOMPASS STUDY HOW DO I KNOW THAT I HAVE A GOOD STUDY POTENTIAL PROBLEM AREAS EXAMPLES OF WHEN TO USE THE MCOMPASS STUDY
7 ANATOMY: RECTUM
8 ANATOMY: ANAL MUSCLES INTERNAL ANAL SPHINCTER EXTERNAL ANAL SPHINCTER PELVIC DIAPHRAM
9 AUTOMONIC (INVOLUNTARY) NERVOUS SYSTEM PARASYMPATHETIC: CRANEAL NERVES AND SACRAL NERVES SYMPATHETIC: SPINAL NERVES
10 ANATOMY: NEURAL INNERVATION PELVIS, RECTUM & ANUS
11 NERVES TO THE ANUS & RECTUM SOMATIC (VOLUNTARY) PUDENDAL & LEVATOR ANI S 2, 3, 4 AUTOMONIC (INVOLUNTARY) SYMPATHETIC (FIGHT OR FLIGHT) L 1, 2, 3 PARASYMPATHETIC (REST) S 2, 3, 4
12 SOMATIC (VOLUNTARY) PUDENDAL & LEVATOR ANI NERVES S 2, 3, 4 AUTOMONIC (INVOLUNTARY) SYMPATHETIC PRESACRAL L 1, 2, 3 PARASYMPATHETIC S 2, 3, 4
13 PHYSIOLOGY: GASTROCOLIC REFLEX AUTONOMIC NERVOUS SYSTEM PARASYMPATHETIC NERVES VAGUS NERVE CONTROLS GUT FUNTION FROM ESOHAGUS TO APPROXIMATLEY THE MIDTRANSVERSE COLON SACRAL PARASYMPATHETIC NERVES CONTROLS GUT FUNTION FROM MID-TRANSVERSE COLON TO ANAL CANAL SYMPATHETIC NERVES CERVICAL, THORASIC, & LUMBAR PLEXUS
14 GASTROCOLIC REFLEX ANTICIPATION, STOMACH, SMALL INTESTINE, COLON, RECTUM, ANAL CANAL
15 RECTUM & ANUS RECTAL ANAL INHIBITORY REFLEX (RAIR) STOOL IN THE RECTUM DILATES THE RECTUM STIMULATES THE MUCOSA STETCHES THE PELVIC DIAPHRAM INTERNAL ANAL SPHINCTER (AUTONOMIC CONTROL) CONTRACT & RELAX 6 TIMES A MIN RELAXES EXTERNAL ANAL SPHINCTER (SOMATIC CONTROL) CONTRACTS: REFLEX & PURPOSEFUL
16 DEFECATION APPROPRIATE TIME RELAX EXTERNAL ANAL SPHINCTER INCREASE INTRABDOMINAL PRESSURE EVACUATE THE RECTUM
17
18 ANAL MANOMETRY A PRACTICLE REVIEW ANATOMY & PHYSIOLOGY OF THE RECTUM & ANUS PERFORMING A GOOD STUDY WITH THE MCOMPASS AVOIDING A POOR QUALITY STUDY READING THE MCOMPASS STUDY HOW DO I KNOW THAT I HAVE A GOOD STUDY POTENTIAL PROBLEM AREAS EXAMPLES OF WHEN TO USE THE MCOMPASS STUDY
19 MCOMPASS ANAL MANOMETRY MEASURES PRESSURE INTERNAL ANAL SPHINCTER EXTERNAL ANAL SPHINTER RECTAL ALLOWS INTERPRITATION SENSATION RECTAL COMPLIANCE MOTIVATION OF THE PATIENT FUNCTION OF THE PUDENDAL NERVE CALCULATES RAIR RECTAL COMPLIANCE
20 MCOMPASS TESTING SEQUENCE 1. RESTING PRESSURE INTERNAL ANAL SPHINCTER 2. CONTRACTING PRESSURE & DURATION OF SQUEEZE EXTERNAL ANAL SPHINCTER 3. RAIR (RECTAL ANAL INHIBITORY REFLEX) PARSYMPATHETIC NERVES S2, S3, S4 4. RECTAL BALLOON INFLATION RECTAL COMPLIANCE 5. EXPULSION TEST ANISMUS 6. COUGH EFFORT
21 MCOMPASS ANAL MANOMETRY NORMAL VALUES RESTING PRESSURE MALE & FEMALE: 60 mmhg & GREATER CONTRACTING PRESSURE MALE: 200 mmhg & GREATER FEMALE: 150 mmhg & GREATER DURATION OF SQUEEZE 20 SECONDS RAIR: CAN VARY GREATLY 30-60cc 1st SENSATION: 30cc SENSATION: CAN VARY GREATLY DESIRE: cc URGE: cc PAIN: cc
22 MCOMPASS ANAL MANOMETRY FEMALE: NORMAL VALUES
23 MCOMPASS ANAL MANOMETRY MALE: NORMAL VALUES
24 HOW TO DO A GOOD ANAL MANOMETRY STUDY
25 PERFORMING A GOOD MANOMETRY RESTING PRESSURE CONTRACTING PRESSURE DURATION OF SQUEEZE BE STILL: NO TALKING, MOVING ENCOURAGE THE PATIENT ENCOURAGE THE PATIENT
26 PERFORMING A GOOD MANOMETRY RAIR RECTAL COMPLIANCE DETERMINE THE RAIR VOLUME BEFORE STARTING THE TEST MAKE SURE THE BALLOON IS AS LOW AS IT WILL GO THE 10cc PRIMING VOLUME IN THE RECTAL BALLOON IS THE CONSIDERED AS ZERO VOLUME IN THE COMPLIANCE TEST
27 RAIR & RECTAL COMPLIANCE KEEP BALLOON LOW BALLOON TOO HIGH
28 RAIR & RECTAL COMPLIANCE KEEP BALLOON LOW NEAR PELVIC DIAPHRAM
29 RAIR & RECTAL COMPLIANCE TESTING STOPCOCK POSITIONS FILLING SYRINGE STOPCOCK POSTION
30 RAIR & RECTAL COMPLIANCE WHAT I HAVE DONE WRONG KEEP BALLOON LOW BALLOON TOO HIGH
31 RAIR & RECTAL COMPLIANCE WHAT I HAVE DONE WRONG INCORRECT STOPCOCK POSITION INCORRECT STOPCOCK POSITION
32 PERFORMING A GOOD MANOMETRY WHAT I HAVE DONE WRONG STOPCOCK & BALLOON IN WRONG POSITION
33 PERFORMING A GOOD MANOMETRY EXPULSION TEST EXHALE/CHOUGH ENCOURAGE THE PATIENT WHEN WAS THE LAST TIME THAT YOU TRIED TO HAVE A BOWEL MOVEMENT WHILE YOU WERE ON YOUR LEFT SIDE? ENCOURAGE THE PATIENT
34 PERFORMING A GOOD MANOMETRY SUMMARY ENCOURAGE THE PATIENT TO RELAX: RESTING PRESSURE ENCOURAGE THE PATIENT TO WORK: CONTRACTING PRESSURE & DURATION BALLOON EXPULSION TEST COUGH DETERMINE THE FIRST SENSATION VOLUME BEFORE STARTING RAIR & COMPLIANCE TESTING KEEP THE RECTAL BALLOON LOW PROPER STOPCOCK POSITION
35
36 ANAL MANOMETRY A PRACTICLE REVIEW ANATOMY & PHYSIOLOGY OF THE RECTUM & ANUS PERFORMING A GOOD STUDY WITH THE MCOMPASS AVOIDING A POOR QUALITY STUDY READING THE MCOMPASS STUDY HOW DO I KNOW THAT I HAVE A GOOD STUDY POTENTIAL PROBLEM AREAS EXAMPLES OF WHEN TO USE THE MCOMPASS STUDY
37 GOOD STUDY GOOD PRESSURES
38 DO I HAVE A GOOD STUDY GOOD STUDY 4 CHANNELS NOT WORKING
39 DO I HAVE A GOOD STUDY 3 CHANNELS NOT WORKING 2 CHANNELS NOT WORKING
40 DO I HAVE A GOOD STUDY GOOD STUDY GOOD STUDY RECTAL PROLAPSE
41 DO I HAVE A GOOD STUDY FISSURE MALE SAME PATIENT 2 CHANNELS NOT FUNCTIONING ALL CHANNELS FUNCTIONING
42 DO I HAVE A GOOD STUDY FISSURE MALE SAME PATIENT 2 CHANNELS NOT FUNCTIONING ALL CHANNELS FUNCTIONING
43 READING THE STUDY FOLLOW THE SEQUENCE RESTING PRESSURE CONTRACTING PRESSURE DURATION OF SQUEEZE RAIR (RECTAL ANAL INHIBITORY REFLEX) RECTAL COMPLIANCE EXPULSION TEST COUGH
44 READING THE STUDY FOLLOW THE SEQUENCE
45 WHEN YOU THOUGHT NOTHING COULD GO WRONG
46 READING THE STUDY POTENTIAL PROBLEM AREAS RAIR RECTAL COMPLIANCE ANISMUS
47 RAIR CALCULATED AS NORMAL
48 RAIR HARD TO INTERPRET
49 RAIR NEGATIVE ON CALCULATION RAIR PROBABLY PRESENT
50 RAIR NEGATIVE ON CALCULATION RAIR PRESENT GOOD PRESSURES, FISSURE
51 RAIR PRESENT EAS CONTRACTS WITH RAIR
52 RAIR PRESENT EAS CONTRACTS WITH RAIR
53 RAIR EASY TO SEE STARTS BEFORE 1ST SENSATION
54 READING THE STUDY POTENTIAL PROBLEM AREAS RAIR RECTAL COMPLIANCE ANISMUS
55 RECTAL COMPLIANCE NORMAL MALE
56 RECTAL COMPLIANCE BALLOON VOLUME EXCEEDED
57 NORMAL FEMALE VARIATION IN RECTAL VOLUME
58 READING THE STUDY POTENTIAL PROBLEM AREAS RAIR RECTAL COMPLIANCE ANISMUS
59 ANISMUS PRESENT FEMALE WITH SPASTICITY
60 ANISMUS NOT PRESENT MALE WITH FISSURE
61
62 ANAL MANOMETRY A PRACTICLE REVIEW ANATOMY & PHYSIOLOGY OF THE RECTUM & ANUS PERFORMING A GOOD STUDY WITH THE MCOMPASS AVOIDING A POOR QUALITY STUDY READING THE MCOMPASS STUDY HOW DO I KNOW THAT I HAVE A GOOD STUDY POTENTIAL PROBLEM AREAS EXAMPLES OF WHEN TO USE THE MCOMPASS STUDY
63 EXAMPLES OF PATIENTS POOR ANAL STRENGTH ON EXAMINATION OR HISTORY WHEN THIS INFORMATION IS IMPORTANT TO THE PATIENTS CARE WHEN THE SITUATION IS CONFUSING TO THE PHYSICIAN EDUCATION FOR THE PATIENT FECAL INCONTINENCE CONSTIPATION PRE-OP EVALUATION ANORECTAL SURGERY COLONIC SURGERY
64 INCONTINENT FEMALE MODERATE PRESSURES
65 CONSTIPATED MALE NORMAL STRENGTH
66 FISSURE MALE GOOD PRESSURES
67 FISSURE FEMALE GOOD TO BORDERLINE STRENGTH
68 DIVERTICULITIS FEMALE GOOD PRESSURES
69 DIVERTICULITIS FEMALE MODERATE PRESSURES
70 RECTAL CANCER FEMALE POOR PRESSURES
71 RECTAL CANCER FEMALE POOR PRESSURES
72 ULCERATIVE COLITIS MALE POOR PRESSURES
73 RECTAL PROLAPE FEMALE POOR PRESSURES: CASE #1
74 RECTAL PROLAPE FEMALE POOR PRESSURES: CASE #1
75 RECTAL PROLAPSE POOR PRESSURES: CASE #2
76 RECTAL PROLAPSE POOR PRESSURES: CASE #2
77 COLOSTOMY CLOSURE FEMALE GOOD PRESSURES
78 COLOSTOMY CLOSURE FEMALE GOOD PRESSURES
79 COLOSTOMY CLOSURE FEMALE POOR PRESSURES
80 RAIR BEFORE 1ST SENSATION CONFUSING TO PHYSICIAN #1
81 RAIR BEFORE 1ST SENSATION CONFUSING TO PHYSICIAN #1
82 RAIR BEFORE 1ST SENSATION CONFUSING TO PHYSICIAN #2
83 RAIR BEFORE 1ST SENSATION CONFUSING TO PHYSICIAN #2
84
85 WHEN TO USE ANAL MANOMETRY POOR ANAL STRENGTH FROM HISTORY OR FROM EXAMINATION WHEN THIS INFORMATION IS IMPORTANT TO THE PATIENTS CARE WHEN THE SITUATION IS CONFUSING TO THE PHYSICIAN EDUCATION FOR THE PATIENT
86 ANAL MANOMETRY A PRACTICLE REVIEW ANATOMY & PHYSIOLOGY OF THE RECTUM & ANUS PERFORMING A GOOD STUDY WITH THE MCOMPASS AVOIDING A POOR QUALITY STUDY READING THE MCOMPASS STUDY HOW DO I KNOW THAT I HAVE A GOOD STUDY POTENTIAL PROBLEM AREAS EXAMPLES OF WHEN TO USE THE MCOMPASS STUDY
87 MCOMPASS ANAL MANOMETRY KEITH D. MUNSON MD FACS, FASCRS
MCOMPASS ANAL MANOMETRY AN OVERVIEW
MCOMPASS ANAL MANOMETRY AN OVERVIEW ANAL MANOMETRY MEASURES PRESSURE ALLOWS INTERPRITATION SENSATION RAIR RECTAL COMPLIANCE MOTIVATION OF THE PATIENT FUNCTION OF THE PUDENDAL NERVE WHEN TO USE ANAL MANOMETRY
More informationAnorectal Diagnostic Overview
Anorectal Diagnostic Overview 11-25-09 3.11.2010 2009 2010 Anorectal Manometry Overview Measurement of pressures and the annotation of rectal sensation throughout the rectum and anal canal to determine:
More informationPREPARING FOR ANORECTOAL MANOMETRY. ManoScan Anorectal Manometry System
PREPARING FOR ANORECTOAL MANOMETRY ManoScan Anorectal Manometry System WHAT IS ANORECTAL MANOMETRY? Anorectal manometry is a test used to evaluate the function and coordination of the sphincter and pelvic
More informationmcompass Interpretation Quick Reference Guide
mcompass Interpretation Quick Reference Guide This document is designed to give you a starting point for reviewing of the mcompass anorectal manometry results. By no means are these the only questions
More informationLangley Catheter Protocols
Langley Catheter Protocols Stericom Ltd Units 1&2 Higham Mead Chesham HP5 2AH England Tel: +44 (0)1494 794315 Fax: +44 (0)1494 772759 info@stericom.com www.stericom.com Instructions for use The 2-balloon
More informationDiagnosis of Impaired Defecatory Function with Special Reference to Physiological Tests
Defecatory Dysfunction Diagnosis of Impaired Defecatory Function with Special Reference to Physiological Tests JMAJ 46(9): 373 377, 2003 Masatoshi OYA, Masashi UENO, and Tetsuichiro MUTO Department of
More informationApplication of Anorectal Dynamics in the Treatment of Colon Disease Packing
Application of Anorectal Dynamics in the Treatment of Colon Disease Packing Zongyue Gao 1, 2, a, Yuyan Liu 1, 2, b, Chunxia Wan 1, 2, c 3, d* and Xiaoli Zhou 1 Henan Province Hospital of TCM, 450000, Henan,
More informationFecal Incontinence. What is fecal incontinence?
Scan for mobile link. Fecal Incontinence Fecal incontinence is the inability to control the passage of waste material from the body. It may be associated with constipation or diarrhea and typically occurs
More informationAccidental Bowel Leakage (Fecal Incontinence)
Accidental Bowel Leakage (Fecal Incontinence) What is Accidental Bowel Leakage (ABL)? Accidental bowel leakage is the inability to control solid or liquid stool. This is the inability to control gas and
More informationACG Clinical Guideline: Management of Benign Anorectal Disorders
ACG Clinical Guideline: Management of Benign Anorectal Disorders Arnold Wald, MD, MACG 1, Adil E. Bharucha, MBBS, MD 2, Bard C. Cosman, MD, MPH, FASCRS 3 and William E. Whitehead, PhD, MACG 4 1 Division
More informationManagement of Neurogenic Bowel Dysfunction. Fiona Paul, DNP, RN, CPNP Center for Motility and Functional Gastrointestinal Disorders
Management of Neurogenic Bowel Dysfunction Fiona Paul, DNP, RN, CPNP Center for Motility and Functional Gastrointestinal Disorders DEFECATION Delivery of colon contents to the rectum Rectal compliance
More information2/5/2016. Evolving Surgical Treatment Approaches for Fecal Incontinence in Women: An Evidence and Cased-Based Approach
Evolving Surgical Treatment Approaches for Fecal Incontinence in Women: An Evidence and Cased-Based Approach Holly E Richter, PhD, MD, FACOG, FACS J Marion Sims Professor Obstetrics and Gynecology Professor
More informationGI Physiology - Investigating and treating patients with pelvic floor dysfunction. Lynne Smith Department of GI Physiology NGH Sheffield
GI Physiology - Investigating and treating patients with pelvic floor dysfunction Lynne Smith Department of GI Physiology NGH Sheffield Aims o o o To give an overview of lower GI investigations To demonstrate
More informationACCIDENTAL BOWEL LEAKAGE: A PRACTICAL APPROACH TO EVALUATION. Tristi W. Muir, MD Chair, Department of OB/GYN Houston Methodist Hospital
ACCIDENTAL BOWEL LEAKAGE: A PRACTICAL APPROACH TO EVALUATION Tristi W. Muir, MD Chair, Department of OB/GYN Houston Methodist Hospital Accidental Bowel Leakage What Gets the Woman into Your Office 67%
More informationSurgical Management for Defecation Dysfunction
Defecatory Dysfunction Surgical Management for Defecation Dysfunction JMAJ 46(9): 378 383, 2003 Tatsuo TERAMOTO Professor, 1st Department of Surgery, School of Medicine, Toho University Abstract: Typical
More informationHuman Anatomy rectum
rectum The colon is also called the large intestine. The ileum (last part of the small intestine) connects to the cecum (first part of the colon) in the lower right abdomen. The rest of the colon is divided
More informationApplication of Anorectal Manometry in the Treatment of Anorectal Diseases
Application of Anorectal Manometry in the Treatment of Anorectal Diseases Kai Wang 1, 2, a, Liping Liu 1, 2, b, Yuyan Liu 1, 2, c 3, d* and Xiaoli Zhou 1 Henan Province Hospital of TCM, 450000, Henan,
More informationConstipation. (Medical Aspects)
Constipation (Medical Aspects) By Dr. Ehab Abdel Khalik MD. Anatomy of the anorectum The rectum is 12-15 15 cm. long. It connects with the sigmoid colon by the rectosigmoid junction which is believed to
More informationCommon Gastrointestinal Problems in the Elderly
Common Gastrointestinal Problems in the Elderly Brian Viviano, D.O. Objectives Understand the pathophysiology, clinical manifestations, diagnosis and management of GI diseases of the elderly. Differentiate
More informationCONSTIPATION. Atan Baas Sinuhaji
CONSTIPATION Atan Baas Sinuhaji Sub Division of Pediatrics Gastroentero-Hepatolgy Department of ChildHealth,School of Medicine University of Sumatera Utara MEDAN DEFECATION REGULAR PATTERN CONSTIPATION
More informationFunction of the anal sphincters in patients with
Function of the anal sphincters in patients with intussusception of the rectum B. FRENCKNER AND T. IHRE Gut, 1976,17, 147-151 From the Department of Clinical Physiology and the Department of Surgery, Serafimer
More informationChapter 16. APR Enhanced Lecture Slides
Chapter 16 APR Enhanced Lecture Slides See separate PowerPoint slides for all figures and tables pre-inserted into PowerPoint without notes and animations. Copyright The McGraw-Hill Companies, Inc. Permission
More informationINTRODUCTION TO GASTROINTESTINAL FUNCTIONS
1 INTRODUCTION TO GASTROINTESTINAL FUNCTIONS 2 Learning outcomes List two main components that make up the digestive system Describe the 6 essential functions of the GIT List factors (neurological, hormonal
More informationFecal Incontinence. Inability to retain feces or bowel movements, resulting in involuntary passage of feces or bowel movements
Fecal Incontinence (Involuntary Passage of Feces or Bowel Movements) Basics OVERVIEW Inability to retain feces or bowel movements, resulting in involuntary passage of feces or bowel movements GENETICS
More informationPrinciples of Anatomy and Physiology
Principles of Anatomy and Physiology 14 th Edition CHAPTER 24 The Digestive System Introduction The purpose of this chapter is to Identify the anatomical components of the digestive system as well as their
More informationHemorrhoids. Carlos R. Alvarez-Allende PGY-III Colorectal Surgery
Hemorrhoids Carlos R. Alvarez-Allende PGY-III Colorectal Surgery Overview Anatomy Classification Etiology Incidence Symptoms Differential Diagnosis Medical Management Surgical Management Anatomy Anal canal
More informationAnorectal Manometry Overview Quick Reference Guide
Anorectal Manometry Overview Quick Reference Guide Parkman HP, McCallum RW, Rao SSC Anorectal Manometry. GI Motility Testing: A Laboratory and Office Handbook. 163-178 Alterations of anorectal function
More informationNeurogenic Bowel: What You Should Know. A Guide for People with Spinal Cord Injury
Neurogenic Bowel: What You Should Know A Guide for People with Spinal Cord Injury Why Is This Information Important? Before SCI, you didn t have to think about bowel movements After SCI, you may need more
More informationGastrointestinal Motility 2: Intestinal and Colonic Motility Jack Grider, Ph.D.
Gastrointestinal Motility 2: Intestinal and Colonic Motility Jack Grider, Ph.D. OBJECTIVES: 1. Contrast the types of motility in the small intestine. 2. Describe the neural circuits that mediate peristalsis.
More informationNovel Options for the Management of Fecal Incontinence
Novel Options for the Management of Fecal Incontinence Arnold Wald, MD, MACG University of Wisconsin School of Medicine and Public Health, Madison WI ANORECTAL CONTINENCE MECHANISMS Reservoir Elements
More informationPhysical Therapy. Pelvic Floor Physical Therapy for Gastrointestinal Conditions. Objectives: Upon completion, participants will be able to:
Pelvic Floor Physical Therapy for Gastrointestinal Conditions By Meghan Z. Markowski, PT, DPT, WCS, BCB-PMD Brigham and Women s s Hospital Department of Rehabilitation Services 850 Boylston Street, Suite
More informationRegulation of the Urinary Bladder Chapter 26
Regulation of the Urinary Bladder Chapter 26 Anatomy 1. The urinary bladder is smooth muscle lined internally by transitional epithelium and externally by the parietal peritoneum. Contraction of the smooth
More informationComposed by Natalia Leonidovna Svintsitskaya, Associate professor of the Chair of Human Anatomy, Candidate of Medicine
Theoretical background to the study of the autonomic nervous system. Sympathetic and parasympathetic divisions of the autonomic nervous system. Features of the structure, function Composed by Natalia Leonidovna
More informationDuc M. Vo, MD, FACS Northwest Surgical Specialists
Duc M. Vo, MD, FACS Northwest Surgical Specialists Disclosures none Outline Definition Etiologies Exam findings Additional testing Medical management Surgical options What is fecal incontinence? Recurrent
More informationFig Glossopharyngeal nerve transmits signals to medulla oblongata. Integrating center. Receptor. Baroreceptors sense increased blood pressure
Fig. 5. Integrating center Glossopharyngeal nerve transmits signals to medulla oblongata Receptor 3 Vagus nerve transmits inhibitory signals to cardiac pacemaker Baroreceptors sense increased blood pressure
More information11/04/2011 OVERVIEW. Neurogenic Bowel Management. in adults with Spinal Cord Injury (S.C.I.) Sequence of events in normal Defecation
Neurogenic Bowel Management in adults with Spinal Cord Injury (S.C.I.) Dimitrios D. Ergeletzis MD Physiatrist Director of Physical Medicine & Rehabilitation Dept.- GIROKOMEION ATHENS, Greece OVERVIEW Anatomy
More informationSaint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russia
Saint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russia Modern technologies in treatment of fecal incontinence in children Komissarov Igor Alexeevich- Ph.D, M.D, Prof. Kolesnikova
More informationPhysiologic Anatomy and Nervous Connections of the Bladder
Micturition Objectives: 1. Review the anatomical organization of the urinary system from a physiological point of view. 2. Describe the micturition reflex. 3. Predict the lines of treatment of renal failure.
More information2.4 Autonomic Nervous System
2.4 Autonomic Nervous System The ANS regulates visceral activities normally outside the realm of consciousness and voluntary control: Circulation. Digestion. Sweating. Pupillary size. The ANS consists
More informationMinimum standards of anorectal manometry
Neurogastroenterol. Mot. (22) 14, 553 559 Minimum standards of anorectal manometry S. S. C. RAO, F. AZPIROZ,* N. DIAMANT, P. ENCK,à G. TOUGAS & A. WALD University of Iowa, Iowa City, USA; *Hospital General
More informationChapter 14 The Autonomic Nervous System Chapter Outline
Chapter 14 The Autonomic Nervous System Chapter Outline Module 14.1 Overview of the Autonomic Nervous System (Figures 14.1 14.3) A. The autonomic nervous system (ANS) is the involuntary arm of the peripheral
More informationDana Alrafaiah. - Amani Nofal. - Ahmad Alsalman. 1 P a g e
- 2 - Dana Alrafaiah - Amani Nofal - Ahmad Alsalman 1 P a g e This lecture will discuss five topics as follows: 1- Arrangement of pelvic viscera. 2- Muscles of Pelvis. 3- Blood Supply of pelvis. 4- Nerve
More informationBowel dysfunctions following hysterectomy
Bowel dysfunctions following hysterectomy Marco Scaglia Retrospective studies Retrospective studies 6% of patients developed new symptoms (Carlson 1994) Constipation is more common in women after hysterectomy
More informationRenal Physiology: Filling of the Urinary Bladder, Micturition, Physiologic Basis of some Renal Function Tests. Amelyn R.
Renal Physiology: Filling of the Urinary Bladder, Micturition, Physiologic Basis of some Renal Function Tests Amelyn R. Rafael, MD 1 Functions of the Urinary Bladder 1. storage of urine 150 cc 1 st urge
More informationI. Neural Control of Involuntary Effectors. Chapter 9. Autonomic Motor Nerves. Autonomic Neurons. Autonomic Ganglia. Autonomic Neurons 9/19/11
Chapter 9 I. Neural Control of Involuntary Effectors The Autonomic Nervous System Lecture PowerPoint Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Autonomic
More informationA Nursing Assessment Tool for Adults With Fecal Incontinence
Journal of Wound, Ostomy and Continence Nursing 2000, 279- A Nursing Assessment Tool for Adults With Fecal Incontinence Christine Norton, MA, RN, and Sonya Chelvanayagam, MSc, RN Abstract Fecal incontinence
More informationThe Autonomic Nervous
Autonomic Nervous System The Autonomic Nervous Assess Prof. Fawzia Al-Rouq System Department of Physiology College of Medicine King Saud University LECTUR (1) Functional Anatomy & Physiology of Autonomic
More informationThe American Society of Colon and Rectal Surgeons
CLINICAL PRACTICE GUIDELINES Downloaded from https://journals.lww.com/dcrjournal by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3IJrtBKuSsQVRz8fA4yAY0a8W1YLRn6mHykFpaZ5LFvI= on 03/16/2018
More informationChapter 15: The Autonomic Nervous System. Copyright 2009, John Wiley & Sons, Inc.
Chapter 15: The Autonomic Nervous System Comparison of Somatic and Autonomic Nervous Systems Comparison of Somatic and Autonomic Nervous Systems Anatomy of Autonomic Motor Pathways Preganglionic neuron
More informationConstipation. H. David Vargas, MD. Overview
Constipation H. David Vargas, MD Overview Constipation is a very common complaint affecting upwards of 15% of all Americans. Fortunately, constipation usually is simple to avoid and easy to treat when
More informationPerineal Electrophysiologic Tests
Perineal disorders and emg! Perineal Electrophysiologic Tests Voiding dysfunction Stress Urinary Incontinence urgency OAB Urge Incontinence nocturia Pr. Gerard Amarenco Mixed Incontinence frequency Service
More informationGuidelines for the Manual Evacuation of Faeces
Rationale Guidelines for the Manual Evacuation of Faeces These guidelines are to provide the required information for designated registered nurses, health care assistants and bank support workers to perform
More informationIndex of subjects. bilesalt, malabsorption, incontinence in 147
Index of subjects alcoholism, neuronal damage in 118 Alzheimer dementia, faecal incontinence in 113 anal fissure, manometry in 5 anal retractor, reduction of resting pressure 128 Angelchick prosthesis,
More informationSACRAL NERVE STIMULATION FOR EXPERIENCE IN CHILDREN
SACRAL NERVE STIMULATION FOR COLORECTAL DISEASES: EXPERIENCE IN CHILDREN C. LOUIS-BORRIONE - JM. GUYS TIMONE-ENFANTS MARSEILLE SACRAL NEUROMODULATION IN CHILDREN 26 : Humphreys et al - 23 children with
More informationFecal continence and the puborectal continence reflex
Fecal continence and the puborectal continence reflex A study about whether the puborectal continence reflex is regulated by the same nerve pathway as the conscious contraction of the puborectal muscle
More information-15. -Alaa Albandi. -Dr. Mohammad Almohtasib. 0 P a g e
-15 -Alaa Albandi - -Dr. Mohammad Almohtasib 0 P a g e In this last lecture, we will talk about the sigmoid colon, rectum, and anal canal. Sigmoid colon It has a mesentery called pelvic mesocolon or sigmoidal
More informationFECAL INCONTINENCE. John H. Winston, III, M.D., M.B.A.
FECAL INCONTINENCE John H. Winston, III, M.D., M.B.A. Diplomate, American Board of Colon & Rectal Surgery Diplomate, American Board of Surgery www.colorectalsurgeryservices.com Fecal Incontinence (FI)
More informationHuman Nervous System:
OLLI Brain: Making Sense of Our World: Lecture 3 Human Nervous System: The Motor & Sensory Divisions Copyright 2004 Pearson Education, Inc., publishing as Benjamin Cummings Organization of the Nervous
More information+ Understanding Male Pelvic Health
Understanding Male Pelvic Health Presented by: Dr. Casey M. Smith, PT, DPT, CSCS Women s Health Physical Therapy and Men s Pelvic Health Richmond, VA Objectives Review male pelvic anatomy/physiology Understand
More informationEvaluation of Anorectal and Pelvic Floor Muscle Function
Chapter Chapter Evaluation of Anorectal and Pelvic Floor Muscle 121 Evaluation of Anorectal and Pelvic Floor Muscle Function Contents.1 Anatomical Background................... 122.2 Functional Parameters
More informationANATOMY & PHYSIOLOGY - CLUTCH CH THE AUTONOMIC NERVOUS SYSTEM.
!! www.clutchprep.com ANATOMY & PHYSIOLOGY - CLUTCH CONCEPT: THE AUTONOMIC NERVOUS SYSTEM: DIVISIONS AND STRUCTURE The Autonomic Nervous System and its Divisions: Autonomic Nervous System (ANS) controls
More informationBrain Stem. Nervous System (Part A-3) Module 8 -Chapter 14
Nervous System (Part A-3) Module 8 -Chapter 14 Overview Susie Turner, M.D. 1/9/13 Cellular structure of the nervous system Neurons Neuroglia Nervous System Divisions Central nervous system Peripheral nervous
More informationThe Digestive System or tract extends from the mouth to the anus.
The Digestive System or tract extends from the mouth to the anus. FUNCTION The Digestive System breaks down and absorbs food materials e.g. amino acids, glucose DEFINITIONS: Ingestion: Ingestion is the
More informationTreatments for Fecal Incontinence A Review of the Research for Adults
Treatments for Fecal Incontinence A Review of the Research for Adults e Is This Information Right for Me? This information is right for you if: Your health care professional* said you or your loved one
More informationThe Nervous System: Autonomic Nervous System Pearson Education, Inc.
17 The Nervous System: Autonomic Nervous System Introduction The autonomic nervous system: Functions outside of our conscious awareness Makes routine adjustments in our body s systems The autonomic nervous
More informationWhat Is Constipation?
CONSTIPATION What Is Constipation? Constipation is when you have infrequent or hard-to-pass bowel movements (meaning they are painful or you have to strain), have hard stools or feel like your bowel movements
More informationElderly Man With Chronic Constipation
Elderly Man With Chronic Constipation Linda Nguyen, MD Director, Neurogastroenterology and Motility Clinical Assistant Professor Stanford University Overview Normal bowel function Defining Constipation:
More informationAutonomic Nervous System Dr. Ali Ebneshahidi
Autonomic Nervous System Dr. Ali Ebneshahidi Nervous System Divisions of the nervous system The human nervous system consists of the central nervous System (CNS) and the Peripheral Nervous System (PNS).
More informationHuman Anatomy & Physiology
PowerPoint Lecture Slides prepared by Barbara Heard, Atlantic Cape Community College Ninth Edition Human Anatomy & Physiology C H A P T E R 14 Annie Leibovitz/Contact Press Images 2013 Pearson Education,
More informationFaecal Incontinence: Assessment and Management
Mrs PK; 56 yrs; Married; 2 children Faecal Incontinence: Assessment and Management Professor Marc A Gladman MBBS DFFP PhD MRCOG FRCS (UK) FRACS Professor of Colorectal Surgery >10 years of incontinence
More informationHuman Anatomy. Autonomic Nervous System
Human Anatomy Autonomic Nervous System 1 Autonomic Nervous System ANS complex system of nerves controls involuntary actions. Works with the somatic nervous system (SNS) regulates body organs maintains
More informationCrucial Role of Rectoanal Inhibitory Reflex in Emptying Function After Anoplasty in Infants with Anorectal Malformations
Original Article Crucial Role of Rectoanal Inhibitory Reflex in Emptying Function After Anoplasty in Infants with Anorectal Malformations Surasak Sangkhathat, Sakda Patrapinyokul and Noppawan Osatakul,
More informationParasymPathetic Nervous system. Done by : Zaid Al-Ghnaneem
ParasymPathetic Nervous system Done by : Zaid Al-Ghnaneem In this lecture we are going to discuss Parasympathetic, in the last lecture we took sympathetic and one of the objectives of last lecture was
More informationOverview of digestion
Key concepts in Digestion. Overview of digestion introduction to the GI system Prof. Barry Campbell Cellular & Molecular Physiology e-mail: bjcampbl@liv.ac.uk http://pcwww.liv.ac.uk/~bjcampbl DIGESTION
More informationConstipation. Information for adults. GI Motility Clinic (UMCCC University Medical Clinics of Campbelltown and Camden) Page 1
Constipation Information for adults GI Motility Clinic (UMCCC University Medical Clinics of Campbelltown and Camden) Page 1 Contents Role of the large intestine..3 Mass movements in the large intestine..4
More informationLets talk about Faecal incontinence (FI) in Scleroderma
Lets talk about Faecal incontinence (FI) in Scleroderma Dr. Shamaila Butt Gastroenterology Research Registrar GI Physiology unit University College Hospital London GI manifestations in Scleroderma Oesophagus
More informationFunctions of the Nervous System
The Nervous System Functions of the Nervous System 1. Control center for all body activities 2. Responds and adapts to changes that occur both inside and outside the body (Ex: pain, temperature, pregnancy)
More informationAnal sphincter exercises. Information for patients Sheffield Teaching Hospitals
Anal sphincter exercises Information for patients Sheffield Teaching Hospitals Anal sphincter exercises to help lessen leakage from the bowel Sphincter exercises, when practiced correctly, can build up
More information6I2.368:6I developmental and physiological connection between the large bowel and. (From the Institute of Physiology, the University, Glasgow.
422 6I2.368:6I2.898 THE NERVOUS CONTROL OF THE CAUDAL REGION OF THE LARGE BOWEL IN THE CAT. BY R. C. GARRY. (From the Institute of Physiology, the University, Glasgow.) To find the influence of a nervous
More informationUNDERSTANDING IBS AND CC Implications for diagnosis and management
UNDERSTANDING IBS AND CC Implications for diagnosis and management J. TACK, M.D., Ph.D. Department of Gastroenterology University Hospitals, K.U. Leuven Leuven, Belgium TYPES OF GASTROINTESTINAL DISORDERS
More information2 Anorectal and Pelvic Floor Physiology
19 2 Anorectal and Pelvic Floor Physiology Søren Laurberg and Klaus Krogh Contents 2.1 Introduction... 19 2.2 General Aspects of Colorectal Motility... 19 2.2.1 Colonic Motility... 19 2.2.2 Rectal Motility...
More informationThe Neurogenic Bladder
The Neurogenic Bladder Outline Brandon Haynes, MD Resident Physician Department of Urology Jelena Svircev, MD Assistant Professor Department of Rehabilitation Medicine Anatomy and Bladder Physiology Bladder
More informationAnorectal Physiology: Test and Clinical Application
eview Journal of the Korean Society of DOI: 10.3393/jksc.2010.26.5.311 pissn 2093-7822 eissn 2093-7830 Department of Surgery, St. Vincent s Hospital, The Catholic University of Korea School of Medicine,
More informationModule 1: Part 3 The Nervous System 2016 The Neuroscience School Welcome to part 3 of module 1 where we look at how the nervous system is organized.
Module 1: Part 3 The Nervous System Welcome to part 3 of module 1 where we look at how the nervous system is organized. By Own work, CC BY 3.0, https://commons.wikimedia.org/w/index.php?curid=10187018
More informationPredictors of Response to Biofeedback Treatment in Anal Incontinence
Predictors of Response to Biofeedback Treatment in Anal Incontinence Xose Fernández-Fraga, M.D., Fernando Azpiroz, M.D., Anna Aparici, R.N., Maite Casaus, R.N., Juan-R Malagelada, M.D. From the Digestive
More informationThe use of conventional defecography in clinical practice
The use of conventional defecography in clinical practice Poster No.: C-1564 Congress: ECR 2014 Type: Educational Exhibit Authors: A. Šmite, R. Laguns ; Lielvarde/LV, Riga/LV Keywords: Pelvic floor dysfunction,
More informationChp. 16: AUTONOMIC N.S. (In Review: Peripheral N. S.)
Chp. 16: AUTONOMIC N.S. (In Review: Peripheral N. S.) Peripheral nerves contain both motor and sensory neurons Among the motor neurons, some of these are somatic and innervate skeletal muscles while some
More informationPelvic Floor Disorders. Amir Darakhshan MD FRCS (Gen Surg) Consultant Colorectal and General Surgeon
Pelvic Floor Disorders Amir Darakhshan MD FRCS (Gen Surg) Consultant Colorectal and General Surgeon What is Pelvic Floor Disorder Surgical perspective symptoms of RED, FI or prolapse on the background
More informationAUTONOMIC NERVOUS SYSTEM PART I: SPINAL CORD
AUTONOMIC NERVOUS SYSTEM PART I: SPINAL CORD How is the organization of the autonomic nervous system different from that of the somatic nervous system? Peripheral Nervous System Divisions Somatic Nervous
More informationThe use of conventional defecography in clinical practice
The use of conventional defecography in clinical practice Poster No.: C-1564 Congress: ECR 2014 Type: Educational Exhibit Authors: A. Šmite, R. Laguns ; Lielvarde/LV, Riga/LV Keywords: Pelvic floor dysfunction,
More informationHigh Resolution Anorectal Manometry (HRARM) in Healthy Egyptian Population
Med. J. Cairo Univ., Vol. 79, No. 2, December: 245-251, 2011 www.medicaljournalofcairouniversity.com High Resolution Anorectal Manometry (HRARM) in Healthy Egyptian Population HALA M.K. IMAM, M.D. and
More informationConstipation Information Leaflet THE DIGESTIVE SYSTEM. gutscharity.org.uk
THE DIGESTIVE SYSTEM http://healthfavo.com/digestive-system-for-kids.html This factsheet is about Constipation Constipation is a symptom that can mean different things to different people but the usual
More informationHuman Anatomy and Physiology - Problem Drill 15: The Autonomic Nervous System
Human Anatomy and Physiology - Problem Drill 15: The Autonomic Nervous System Question No. 1 of 10 Which of the following statements is correct about the component of the autonomic nervous system identified
More informationand Pelvic Floor Physiology and Function
Studies of the Mechanisms of Sacral Nerve Stimulation for Faecal Incontinence: Investigations of Anorectal and Pelvic Floor Physiology and Function Mostafa Rabieh El-Said Abdel-Halim MBBCh, MSc, MRCS Division
More informationAutonomic Nervous System
Autonomic Nervous System Objectives 1. Describe the CNS components of the ANS 2. Understand the peripheral pathways that connect the ANS with targets in the body. 3. Understand the classes of disorders
More informationSummary and conclusion. Summary And Conclusion
Summary And Conclusion Summary and conclusion Rectal prolapse remain a disorder for which no single ideal treatment was approved for all cases. Complete rectal prolapse (procidentia) is the circumferential
More informationViscous Fluid Retention: A New Method for Evaluating Anorectal Function
Viscous Fluid Retention: A New Method for Evaluating Anorectal Function Michael Srensen, M.D., Tine Tetzschner, M.D., le 0. Rasmussen, M.D., John Christiansen, M.D. From the Department of Surgery D, Glostrup
More informationPeristeen Anal Irrigation
Peristeen Anal Irrigation Advice & Instructions Anal Irrigation Advice and Instructions for patients.indd 1 04/05/2011 11:29:28 Contents Introduction 3 History 3 The bowel system 4 Constipation 6 Faecal
More information